What is Supatra Laksanasut's NPI number?

Supatra Laksanasut's National Provider Identifier (NPI) is 1568656056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Supatra Laksanasut's specialty?

Supatra Laksanasut is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Supatra Laksanasut located?

Supatra Laksanasut's practice location on file with NPPES is 1130 Highway 77, Bridgeton, NJ 08302-5988.

What is Supatra Laksanasut's phone number?

The practice phone number listed in the NPPES registry for Supatra Laksanasut is (856) 453-0418.

Is Supatra Laksanasut's NPI active?

Yes — Supatra Laksanasut's NPI (1568656056) is active in the NPPES registry as of the last update on 2007-08-28.

IndividualActive

Supatra Laksanasut, O.D.

NPI 1568656056 · Optometrist · Bridgeton, NJ

Supatra Laksanasut, O.D. is a Optometrist provider in Bridgeton, NJ (NPI 1568656056).

Provider details

NPI number: 1568656056
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Female
Sole proprietor: No
License: 27OA00610200 (NJ)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 27OA00610200 (NJ)
Eye and Vision Services Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1130 Highway 77

Bridgeton, NJ 08302-5988

Phone: (856) 453-0418

Street-level locationGet directions

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Mailing address